Requesting Your Medical Records

Contact Us

Health Information Management hours of operation are Monday – Friday, 8 a.m. – 4:30 p.m. We are available to answer any questions during business hours via email at or by calling 805-569-7306.

Patients may request copies of their medical records from Health Information Management (HIM) by completing the necessary authorization form.

Request Medical Records Online

Click the button below to submit your request electronically.

For Patients

Request Your Medical Records

For Healthcare Providers

Request Medical Records

Electronic Health Records via MyChart

Cottage Health offers a secure electronic health record to help patients understand and manage their care. Cottage Health's MyChart provides immediate access to your medical records.

Follow this link to download the Patient Portal/Proxy Access Request form

For a Spanish version follow this link - Solicitud de Acceso al Portal/Apoderado Para Pacientes

With a Cottage Health MyChart Account, you can:

  • Receive lab results online for most tests
  • Monitor health trends
  • View appointment summaries
  • Message your doctor or provider for Cottage Health outpatient or clinic visits
  • Access your child’s immunization records and growth charts.
  • View prescriptions for your medications
  • Request and receive copies of your medical records
  • Pay your bill
  • Manage and update your demographic and insurance information
  • Check in for your appointments
  • Fill out forms and questionnaires online in advance of your appointment
  • Access your health information using your Android™, Apple Watch®, Apple iPhone®, iPad® or other smart tablet or device.

Submitting Requests by Mail, Fax, or Email

For offline medical records requests, follow the link below to download a form. Complete the form, including dates of service needed, and sign it. Please read the forms carefully before you sign them.

Authorization to Disclose Health Information form

Autorización Para la Revelación de Información Médica

The completed Authorization forms requesting copies of your medical records may be submitted via any of these options:

Mail: Cottage Health, HIM Department
P.O. Box 689, 400 West Pueblo Street,
Santa Barbara CA 93102-0689

Fax: 805-749-2879